http://jsogp.net/index.php/jsogp/issue/feedJournal of the Society of Obstetrics and Gynaecologists of Pakistan2018-12-12T07:28:21-05:00Prof. Rizwana Chaudharymasood@masoodjawaid.comOpen Journal Systems<p>The&nbsp;<strong>Journal of&nbsp;the&nbsp;Society of Obstetrics and Gynaecologists of Pakistan (JSOGP).&nbsp;</strong>It is&nbsp;the&nbsp;journal of&nbsp;the&nbsp;Society of Obstetrics and Gynaecologists of Pakistan (SOGP). It is published on quarterly basis, multi-reviewed (internal external and statistics) reviewed journal.&nbsp;The&nbsp;journal is recognized from Pakistan Medical and Dental Council (PMDC), and Higher Education Commission of Pakistan (HEC Y category). The&nbsp;Journal is internationally indexed in Index Copernicus Poland , Directory of Research journal indexing DRJI. Enlisted&nbsp;in International Committee of Medical Journal Editors(ICMJE), Others index Agencies i.e. EMBASE, Scopus, EBSCO, Excerpta Medica are in pipe line.</p>http://jsogp.net/index.php/jsogp/article/view/175 Pregnancy Associated Breast Cancer2018-12-11T23:11:43-05:00Arifa Manzoordocarifa@yahoo.com<p>Pregnancy-associated breast cancer (PABC) is defined as breast cancer diagnosed during pregnancy or within one year postpartum. The aim of this editorial is to emphasize the early detection of PABC, including PABC in the differential diagnosis while investigating a breast mass in the perinatal period and managing it appropriately. Breast cancer is the most frequently diagnosed malignancy in women as well as most common malignancy among female patients of reproductive age group.<sup>1</sup> Every year around 11% breast carcinomas are projected to be diagnosed in women under the age of 45 with a higher reported incidence in developing countries.<sup>2</sup> It is estimated that between 1&nbsp;in 3000 and 1&nbsp;in 10,000 pregnancies, can become problematic by the diagnosis of breast cancer.<sup>3</sup> Breast cancer during pregnancy (BCP) is a rare condition and its incidence ranges between 2.4 and 7.3 per 100,000 pregnancies.<sup>4</sup> There are indications that the incidence of breast cancer in young women and the occurrence of BCP is increasing.<sup>5</sup> &nbsp;&nbsp;Current trend of postponing pregnancy to later in life is also likely to increase the incidence of pregnancy associated breast cancer in future.<sup>6</sup></p>2018-12-11T23:11:00-05:00##submission.copyrightStatement##http://jsogp.net/index.php/jsogp/article/view/176 A Survey of Cervical Cancer and Pap Smear Awareness and Utilization of Pap smear test among female health care providers in a Secondary Care Hospital, Pakistan2018-12-11T23:23:51-05:00Shazia Syeddrshazee@hotmail.com<p><strong>Objective:</strong> To determine the level of awareness of cervical cancer and utilization of Pap smear screening in a cohort of female health workers, where awareness is expected to be high.<br><strong>Methods:</strong> A descriptive cross-sectional survey was conducted in Sept-Oct 2017, in Aziz Bhatti Shaheed Teaching Hospital (DHQ) Gujrat. A weighted sample of 153 female health workers including doctors, nurses, LHV’s and Midwives, were interviewed using a self-administered questionnaire. Knowledge about cervical cancer and Pap smear, along with attitudes and practices towards screening were measured. Data analyzed (SPSS Version 21), percentages and frequencies were calculated.<br><strong>Results:</strong> Knowledge of Cervical cancer and Pap smear test was high 92% and 78% respectively, 95% considered cervical cancer a public health problem. However only 34% practiced routine screening and only 9.8 % (7/71) of the eligible candidates had availed themselves ever for the test. Whereas 73% knew risk factors for cervical cancer, knowledge about eligibility and screening interval was 54% and 39% respectively. Common reasons for not taking Pap smear (66%) were: 07% thought it was for senior doctors, Nurses and midwives thought Pap smear was doctors' procedures and they did not know how to do it (39%), 11% never thought about it, doctors in disciplines other than Obs/Gyn (09%) thought this was an activity only for Obs/Gyn.<br><strong>Conclusion:</strong> Despite the adequate knowledge of cervical cancer and its prevention by Pap smear screening, attitudes and practices towards screening are inadequate. Health care providers should improve on opportunistic screening. Nurse’s training, with formulation and implementation of a National Screening Policy being imperative.</p>2018-12-11T23:23:51-05:00##submission.copyrightStatement##http://jsogp.net/index.php/jsogp/article/view/177 Effect of Vitamin D Supplementation on Glucose Metabolism in Polycystic Ovary Syndrome2018-12-11T23:51:29-05:00Fareesa Waqarfareesa.waqar@riphah.edu.pkWajiha Shadabdrwajehasaad@gmail.comShumaila Shariffareesa.waqar@riphah.edu.pkBeenish Riazfareesa.waqar@riphah.edu.pk<p><strong>Objective:</strong> To study the role of vitamin D supplementation on glucose metabolism in polycystic ovary syndrome.<br><strong>Study Design:</strong> Prospective, quasi experimental study design.<br><strong>Place and Duration of study:</strong> Railway General Hospital, Rawalpindi from December 2014 to December 2015.<br><strong>Methodology:</strong> From all participants of the study the standard anthropometric measurements including weight, height, and hip and waist circumference were recorded. Basal blood samples for hormonal and metabolic determinants were taken in the morning after overnight fasting at 2nd to 5th day. Among all the participants of the study, a fasting 75g oral glucose tolerance test was carried out. After that the samples of blood for insulin, glucose and C-peptide were taken at 30, 60, and 120 minutes.<br><strong>Results:</strong> 108 patients met the eligibility criteria of PCOS and received the treatment. The findings of this study showed that weekly supplementation of 20,000 IU vitamin D3 orally administered results in a significant improvement of glucose metabolism and menstrual pattern in a relatively large group of PCOS women. Moreover, triglyceride levels significantly decreased but total cholesterol and LDL cholesterol increased after vitamin D treatment.<br><strong>Conclusion:</strong> Vitamin D treatment can be helpful in improving glucose metabolism and menstrual irregularities observed in PCOS patients.</p>2018-12-11T23:51:29-05:00##submission.copyrightStatement##http://jsogp.net/index.php/jsogp/article/view/178 Magnesium Sulphate in Eclampsia and Pre-Eclampsia - A Case Series Of 103 Patients Treated with Single Loading Dose of MgSO4 (14 Grams) At Holy Family Hospital, Rawalpindi2018-12-12T02:09:02-05:00Humaira Bilqishumairabilqis@gmail.comHumera Noreenhumeranoreen@ymail.comNaheed Banonaheedlari@hotmail.comRizwana Chaudhririzwanachaudhri@hotmail.com<p>Objective: To determine the efficacy of single loading dose (14 grams) of magnesium sulphate (MgSO4) as an anti-convulsant in the management of eclampsia and severe pre-eclampsia.<br>Methods: A prospective study was conducted at Obs/Gynae Department, Holy Family Hospital, Rawalpindi over a period of three years. The patients who needed MgSO4 due to eclampsia or severe pre-eclampsia were included in the study. The patients were given 14 grams MgSO4 (4 grams I/V bolus diluted in 20 ml N/S + 5 grams I/M on each buttock) as the sole anticonvulsant agent. Other aspects of the management were as in the standard practice. The main outcome measure was the occurrence of seizure within 24 hours after Mgso4 therapy. All observations were recorded on a specially designed proforma. <br>Results: Total patients recruited were 103, including 61 eclamptics and 42 pre-eclamptics. Mean age was 27 years. In 42 (40.8%), fits occurred antenatal, 5 (4.8%) intrapartum and 14 (13.5%) postpartum. Seizures occurred in 6 (5.8%) patients within 24 hours after the loading dose of MgSO4; 5 (8.1%) among eclamptics and 1 (2.3%) among pre-eclamptics. The vaginal delivery rate was 64% and the LSCS rate was 35.9%. There were 38 (36.8%) perinatal deaths and one maternal expiry (0.97%).<br>Conclusions: The single loading dose of MgSO4 can be used with good seizure control and less chances of toxicity and hence a good option in low-resource countries to decrease the maternal mortality rate.</p>2018-12-12T02:09:01-05:00##submission.copyrightStatement##http://jsogp.net/index.php/jsogp/article/view/179 Prevalence of Hypovitaminosis D Among Primigravidas in First Trimester of Pregnancy2018-12-12T05:04:01-05:00Nadia Khurshidmeetnadiakkhan@ymail.comAmna Rafiquemeetnadiakkhan@ymail.comFaiza Nisarmeetnadiakkhan@ymail.com<p>Background; Over the few decades, various studies have documented remarkable status of vitamin D deficiency in male and female population. We planned our study to find its prevalence among our local pregnant population. Primigravidas were especially selected to avoid any after effects of previous pregnancies. So that the seriousness of the situation can be assessed and preventive strategies can be developed.</p> <p>Objective: to determine the prevalence of deficiency of vitamin D levels in first trimester of pregnancy among primigravida women.</p> <p>Study design; Prospective cross section study.</p> <p>Place and Duration: The study period was from October 2017 till May 2018.It was conducted on outpatient cases At Gulab Devi Hospital feroze pur road Lahore.</p> <p>Methodology: in this study we included 100 women who were first time pregnant (primigravida). The search was further narrowed by collecting the subjects who were in their first trimester of pregnancy. Their blood samples were taken and sent for serum 25-hydroxy vitamin D3 [25 (OH) D3] level.&nbsp;</p> <p>Results: Out of 100 (n=100) primigravidas, 85 % (n=85) were found deficient in their serum vitamin D level (following the overall criteria of deficiency); i.e. serum 25 (OH) D3 &lt;&nbsp;30&nbsp;ng/mL).</p> <p>Conclusion: Prevalence of hypovitaminosis D is significantly high in Pakistani urban pregnant population.</p>2018-12-12T05:04:00-05:00##submission.copyrightStatement##http://jsogp.net/index.php/jsogp/article/view/180 Accuracy of Visual Inspection of Cervix with 5% Acetic Acid (VIA) in the Diagnosis of Cervical Cancer2018-12-12T07:28:21-05:00Fatima Haroonnatashausman5@hotmail.comNatasha Bushranatashausman5@hotmail.com<p><strong>Objective:</strong> To evaluate the accuracy of Visual inspection of cervix with 5% acetic acid (VIA) in the diagnosis of cervical cancer.</p> <p><strong>Place and Duration:</strong> It was a cross sectional study conducted Department of Obstetrics and Gynecology, Unit-III, Out Patient Department, SIMS/Services Hospital, Lahore, Pakistan. over a period of six months from 06-02-2017 to 05-08-2017.</p> <p><strong>Methodology:</strong> A total of 250 cases of VIA were included in this study. The VIA test was performed by adding 5ml of acetic acid in 95ml of water to form 5% acetic acid in a kidney dish. If VIA positive, cervical biopsy will be done under local anesthesia and ask the patient to follow up with report of histopathology.</p> <p><strong>Results:</strong> Comparison of VIA vs histopathology in the detection of cervical cancer shows 250 positive cases seen on VIA while 167 positive and 83 negative cases were seen on histopathology. Positive predictive value of VIA was 78.3%.</p> <p><strong>Conclusion:</strong> VIA has a role in screening program of cancer cervix in low resource countries like Pakistan and may become an alternative screening tool as it is simple, easy, rapid to administer, does not need much instructions, cost effective and its results are available immediately.</p>2018-12-12T07:28:21-05:00##submission.copyrightStatement##